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Sequoyah Residential Facility, Inc.
Nursing Facility/Intermediate Care Facility in Prairie Grove, Arkansas
NPI 1124109749

Sequoyah Residential Facility, Inc. is a Nursing Facility/Intermediate Care Facility based in Prairie Grove, AR. Sequoyah Residential Facility, Inc. practices in Prairie Grove, AR. The NPI Number for Sequoyah Residential Facility, Inc. is 1124109749 and holds a License No. 777 (Arkansas).

The current practice location address for Sequoyah Residential Facility, Inc. is 621 S Mock St, Prairie Grove, AR and can be reached out via phone at 479-846-2169.

Location: 621 S Mock St, Prairie Grove, AR, 72753-0916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124109749
Provider Name
Sequoyah Residential Facility, Inc.
Credential
Provider Entity Type
Organization
Address
621 S Mock St, Prairie Grove, AR, 72753-0916
Phone Number
479-846-2169
Fax Number
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
621 S Mock St
City
Prairie Grove
State
Arkansas
Zip
72753-3146
Phone Number
479-846-2169
Fax Number
person
Provider Business Mailing Address Details
Address
621 S Mock St
City
Prairie Grove
State
Arkansas
Zip
72753-3146
Phone Number
479-846-2169
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
777 (Arkansas)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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